inforMED
MalfunctionFIL

FRESENIUS DIALYSIS DELIVERY SYSTEM

Received Mar 22, 2002 · Event occurred Feb 23, 2002

Report 2937457-2002-00021 · MDR key 384469

Device

Generic name

Hemodialysis Machine

Model number

2008K

Catalog number

NA

Lot number

NA

Product problems

  • Output, high

Patient

UNKNOWN

  • Other (for use when an appropriate patient code cannot be identified)

Narrative

Description of Event or Problem

A DIALYSIS FACILITY REPORTED THAT A PATIENT REMOVED TOO MUCH FLUID DURING A HEMODIALYSIS TREATMENT. BASED ON THE REPORTED PRE AND POST WEIGHTS, PATIENT HAD LOST 6.5KG. THE MACHINE INDICATED THAT 3.8 KG. WAS REMOVED. PATIENT WAS GIVEN THREE LITERS OF SALINE TO BRING THEM UP TO THEIR DRY WEIGHT. THE PATIENT WAS ASYMPTOMATIC AND WAS DISCHARGED AMBULATORY AND STABLE.